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강매화,Chi Bum In,Man-ho Kim,Kyoung-Ji Lim,박은영,Hyo Min Lee,이수경 대한마취통증의학회 2011 Korean Journal of Anesthesiology Vol.61 No.6
We report a case of an erroneously elevated bispectral index (BIS) during robot assisted thyroidectomy using an electromyographic endotracheal tube (EMG tube), which is safe and useful for laryngeal electromyographic monitoring. Ten minutes after start of the operation, a sudden increase of BIS value up to 98 was noticed. The BIS values were not decreased to < 65 with supplemental anesthetics. The anesthetic method was changed from total intravenous anesthesia to balanced anesthesia. The BIS sensor and monitor were changed and other models were used. These interventions did not alter BIS values. BIS levels remained between 60 and 70 throughout the main procedure and intermittently increased to the mid-90s without any trace of poor signal quality. At the end of the surgery, the BIS values returned to normal range. The patient did not complain of intraoperative recall. Knowledge of potential interference from the use of an EMG tube must be considered when interpreting BIS.
Aspiration pneumonia caused by fentanyl-induced cough -a case report-
Kyung Jee Lim,박은영,강매화,이수경,Hyo Min Lee,Man Ho Kim,Yi Seul Kim 대한마취통증의학회 2013 Korean Journal of Anesthesiology Vol.65 No.3
Although fentanyl-induced cough is generally transient and benign, it can give rise to serious problems in patients to whom increasing intracranial, intraocular or intraabdominal pressures may create dangerous situations. This case demonstrates aspiration pneumonia as a complication, exhibiting severe cough induced by intravenous injection of fentanyl.
Tapia's syndrome following cervical laminoplasty -A case report-
임경지,이수경,김만호,강매화,이효민,박은영,권광준,최현,문현수 대한마취통증의학회 2013 Korean Journal of Anesthesiology Vol.64 No.2
Tapia's syndrome is the palsy of the 10th and 12th cranial nerves, resulting in ipsilateral paralysis of the vocal cord and tongue. It is a rare complication which is related to the anesthetic airway management and positioning of the patient’s head during the surgery. We describe a patient with a postoperative unilateral Tapia’s syndrome, after general anesthesia, with uncomplicated endotracheal intubation. The patient’s symptoms improved gradually for three months.